Question 22
Type: MCSA
A community health nurse runs a clinic that provides health screening to mainly Mexican American and Native
American clients. The nurse wants to have a class on smoking cessation for interested adults of this group. In
order to adjust to their time orientation, what is the best action of the nurse?
1. Make sure that the classes are held at specific times.
2. Begin classes when a group of clients are gathered.
3. Mail letters ahead of time to make sure clients are informed about the upcoming class.
4. Make posters and place them in areas of the community frequented by these groups.
Question 23
Type: MCSA
At the completion of a teaching session, the nurse wants to evaluate the effectiveness of instruction. In a situation
where the client was learning a bandaging technique, which would be the most effective evaluation?
1. Shared by the nurse and client
2. A return demonstration by the client
3. When the nurse is satisfied that the client can complete the technique
4. If the wound heals
Question 24
Type: MCMA
The nurse has completed a teaching session for a client with a tracheostomy. Documentation of the session should
include what information?
Standard Text: Select all that apply.
1. Diagnosed learning needs
2. Supplies required
3. Client outcomes
4. Need for additional teaching
5. Topics taught
Question 25
Type: MCMA
When making an assessment of the client’s learning needs, the nurse will focus on which elements?
Standard Text: Select all that apply.
1. Nurse’s own knowledge
2. Client’s age
3. Client’s understanding of health problem
4. Sensory acuity
5. Learning style
Question 26
Type: MCMA
A school nurse is planning a program for adolescents about positive lifestyle choices. The nurse should keep in
mind that content presented to this age group must be
Standard Text: Select all that apply.
1. based on learning outcomes.
2. current.
3. adjusted to the adolescent client.
4. based on sources available within the school system.
5. accurate.
Question 27
Type: MCMA
A client is being discharged after a 23-hour stay for a surgical procedure. When preparing the instructions for this
client, what does the nurse need to do?
Standard Text: Select all that apply.
1. Ensure the client’s safe transition to home.
2. Include information about what the client has been taught.
3. Include what the client still needs to learn when discharged.
4. Check the client’s insurance for hospitalization coverage.
5. Call the client’s prescriptions in to the client’s local pharmacy.
Question 28
Type: MCMA
The nurse serves as an educator of other health care personnel. In what capacity will this nurse participate in
education?
Standard Text: Select all that apply.
1. Preceptor of new graduate nurses
2. Instructing a part of the critical care course
3. Clinical instruction of nursing students
4. One-to-one teaching of clients
5. Teaching grandparents how to care for children
Question 29
Type: MCMA
The nurse planning an educational session for adult clients should include which andragogy concepts?
Standard Text: Select all that apply.
1. People move from dependence to independence with maturity.
2. Previous experiences can be used as a resource for learning.
3. Learning is related to an immediate need or problem.
4. Learning is reinforced by prompt feedback.
5. Adults are oriented to learning when the material is useful sometime in the future.
Question 30
Type: MCMA
The nurse is utilizing humanistic theory when instructing a client. What will the nurse demonstrate when utilizing
this theory?
Standard Text: Select all that apply.
1. Empathy
2. Encouraging the client to establish goals
3. Encouraging the client to participate in self-directed learning
4. Multisensory teaching strategies
5. Providing a physical environment conducive to learning
Question 31
Type: MCSA
A client tells the nurse that he has no questions about his illness, as he did a search for information on the Internet.
What should the nurse do?
1. Ask the client to share the information obtained from the Internet search.
2. Document that the client has received instruction.
3. Tell the client that the Internet is a form of entertainment, not instruction.
4. Document that the client refused instruction.
Question 32
Type: MCMA
The nurse instructs the older client to access the Internet to complete a post-hospitalization survey and update
health information. The client tells the nurse that he does not have a computer and would not know how to use
one. What should the nurse do?
Standard Text: Select all that apply.
1. Suggest the client learn how to use a computer through classes held at a local library.
2. Provide times for the client to attend basic computer use classes through the community learning center.
3. Document that the client is resistant to instruction.
4. Notify the physician that the client will not be adhering to medical instruction as planned.
5. Identify the client as being noncompliant with instruction.
Question 33
Type: MCMA
The nurse suspects a client has low literacy. What did the nurse assess to come to this conclusion?
Standard Text: Select all that apply.
1. Incorrect completion of previous hospitalizations form
2. Client refusing to sign forms because eyeglasses are at home
3. Client saying he forgot to report for laboratory testing
4. Score of 6 on the Newest Vital Sign assessment tool
5. Questioning the dosage pattern on a newly prescribed medication
Question 34
Type: MCMA
The nurse is designing a teaching plan for a client to learn a new psychomotor skill. What strategies can the nurse
use to facilitate learning for this client?
Standard Text: Select all that apply.
1. Demonstration
2. Practice
3. Modeling
4. Discovery
5. Role playing
Question 35
Type: MCMA
The nurse instructs a client on self-care for a new ostomy. Which client behaviors demonstrate that instruction has
been effective?
Standard Text: Select all that apply.
1. Client provides skin care and changes ostomy device.
2. Client states what items are needed to perform ostomy care.
3. Client is unable to identify changes in skin around the stoma.
4. Client tells the nurse that he does not want to do the care.
5. Client asks his wife to learn how to perform the care so he will not have to do it.
Question 36
Type: MCMA
The nurse is documenting the teaching plan for a client. What should be included in this documentation?
Standard Text: Select all that apply.
1. Actual information to be taught
2. Teaching strategies to use
3. Skills to be taught
4. Amount of time needed to teach each topic
5. Vital signs before and after each teaching session
Question 37
Type: MCMA
The nurse has completed a teaching session for a client with a tracheostomy. What should the documentation
include?
Standard Text: Select all that apply.
1. Diagnosed learning needs
2. Supplies required
3. Client outcomes
4. Need for additional teaching
5. Topics taught
Question 38
Type: MCMA
The nurse is creating a teaching plan for a client recovering from total hip replacement surgery. What should the
nurse include in this client’s plan?
Standard Text: Select all that apply.
1. The content to be included
2. The outcome for the teaching
3. The approaches used to teach the content
4. The evaluation of the effectiveness of teaching
5. The amount of time needed to cover the content
Question 39
Type: MCMA
The nurse is preparing to teach a client on skin care and application of a stoma device. What should the nurse
keep in mind when teaching the client this information?
Standard Text: Select all that apply.
1. Address the client’s concerns first.
2. Assess what the client knows already.
3. Address anxiety-producing issues last.
4. Teach the basics before complicated tasks.
5. Leave time for review and answering questions.